Performance of the 13C-urea breath test for the diagnosis of H. pylori infection using a substrate synthesized in Brazil: A preliminary study

OBJECTIVE: The 13C-urea breath test is the main non-invasive test for the diagnosis of Helicobacter pylori infection. The availability of this test throughout the country is limited, mainly due to the difficulty in obtaining the labeled isotope from abroad. Recently, researchers from the Nuclear Energy Center in Agriculture at the University of São Paulo (CENA/USP) succeeded in synthesizing 13C-enriched urea for Helicobacter pylori diagnosis. The aim of the study was to compare the performance of the 13C-urea breath test using 13C-urea acquired abroad with that of a test using 13C-urea synthesized in Brazil. METHOD: Sixty-four dyspeptic patients participated in the study (24 men and 40 women). Initially, the patients performed the 13C-urea breath test using the imported substrate (Euriso-Top, France). Seven to fourteen days later, all the patients repeated the test using the Brazilian substrate. The samples from both examinations were processed in an infrared isotope analyzer (IRIS, Wagner Analisen Technik, Germany), and all delta over baseline (DOB) [%] values above four were considered positive results. RESULTS: Twenty-seven patients (42%) exhibited negative results for Helicobacter pylori infection, and thirty-seven patients (58%) exhibited positive results when tested using the foreign substrate (gold standard). There was a 100% concordance regarding the presence or absence of infection when the gold standard results were compared with those obtained using the Brazilian substrate. CONCLUSIONS: Similar performance in the diagnosis of Helicobacter pylori infection was demonstrated when using the 13C-urea breath test with the Brazilian 13C-urea substrate and the test with the substrate produced abroad. This validation represents an important step toward increasing the availability of the 13C-urea breath test throughout the country, which will have a positive influence on the management of Helicobacter pylori infection.

Cultivos discontinuos alimentados con urea de la cianobacteria Phormidium sp. en función de la salinidad y edad del cultivo / Urea fed-batch cultures of the cyanobacterium Phormidium sp. as a function of the salinity and age of cultures

Se comparó la eficiencia de sistemas de cultivos discontinuos alimentados versus cultivos discontinuos convencionales, en cuanto a concentración de nitrógeno, adicionando 0,2 mM de urea cada tres días al final de la fase exponencial, durante 21 días. Se realizaron cultivos con un volumen de 1500 mL a 15 y 35 UPS de salinidad, enriquecidos con medio ALGAL 8mM NaNO3, a 238 µmol q m-2 s-1, aireación constante, fotoperiodo 12:12 horas y temperatura de 29 ±3°C. Phormidium sp. posee la capacidad de hidrolizar la urea; mostrando una asimilación de 65±7,07% de la misma, con la mayor producción (p<0,05) de clorofila a, ficocianina y proteínas de 20,26±1,24; 203,47±12,83 y 707,87±28,47 µg mL-1en los cultivos alimentados. La producción de pigmentos vario en el tiempo, independientemente a la salinidad y sistema de cultivo, mientras que la producción de proteínas y carbohidratos totales fue directamente proporcional a la edad del cultivo, con valores máximos de 612,74 ± 5,41 µg mL-1 y 8,96±0,08 mg mL-1 respectivamente a los 31 días. La síntesis de lípidos y EPS fueron influenciadas (p<0,05) por la salinidad, presentando los máximos de lípidos a 15 UPS con 12,22±2,91µg mL-1, y los EPS se incrementaron a 35 UPS con 2,00 ± 0,26 y 2,03 ± 0,15 mg mL-1. Estos resultados determinan que los cultivos de Phormidium sp. alimentados con urea y a salinidades de 15 y 35 UPS, representan una alternativa económica para la producción de clorofila a, ficocianina y proteínas, incrementándose un 31,04; 40,72 y 31,94 % respectivamente en comparación con cultivos no alimentados.

Fed-batch system efficiency versus batch cultures was compared in relation to nitrogen concentration, adding 0,2mM urea at the end of the exponential phase, during 21 days. Cultures were carried out in 1500 mL to 1.5 and 3.5 UPS of salinity, enriched with Algal medium 8mM NaNO3, 238 mol q m-2 s-1, constant aeration, photoperiod 12:12 h. and 29 ±3°C. Phormidium sp. is able to hydrolyze urea; showing a total assimilation of 65±7.07%, with the highest (p< 0.05) chlorophyll a, phycocyanin and protein production of 20.26 ± 1.24, 203.47 ± 12.83 and 707.87 ± 28.47 µg mL-1 in the fed-batch cultures. On the other hand, pigment production varies in time, regardless salinity and culture system. Proteins and total carbohydrate production were directly proportional to the age of cultures, with maximum values of 612.74 ± 5.41 µg mL-1 and 8.96 ± 0.08 mg mL-1, respectively. Lipid and EPS were influenced (p< 0.05) by salinity, showing maximum of lipids at 15 UPS with 12.22±2.91 µg mL-1, and EPS at 15 and 35 UPS with 2.00 ± 0.26 and 2.03 ± 0.15 mg mL-1. These results determine that Phormidium sp. cultures fed with urea, to salinities of 15-35 UPS, represent an economic alternative for chlorophyll a, phycocyanin and protein production, with an increase of 31.04, 40.72 and 31.94% respectively in comparison with non-fed cultures.

Cultivo contínuo de Arthrospira (Spirulina) platensis em fotobiorreator tubular utilizando uréia como fonte de nitrogênio e CO2 puro ou proveniente de fermentação alcoólica / Continuous cultivation of Arthrospira (Spirulina) platensis in tubular photobioreactor using urea as nitrogen source and CO2 from cylinder or produced by alcoholic fermentation

A aplicabilidade do processo de produção de microrganismos fotossintetizantes depende da obtenção de altas concentrações de biomassa e para isso seria interessante o emprego de fotobiorreatores tubulares. Eles permitem redução da área de cultivo e menor perda de CO2 e nitrogênio amoniacal por volatilização. Em uma primeira etapa deste trabalho, Arthrospira platensis foi cultivada por processo contínuo, avaliando-se diferentes valores de vazão específica de alimentação (D = 0,2 a 1,0 dia-1) e diferentes intensidades luminosas (I = 60 e 120 µmol fótons.m-2.s-1). Verificou-se que 120 µmol fótons.m-2.s-1 associada a D igual a 0,2 dia-1 resultou em maior valor de concentração celular em regime permanente (XP = 2446 ± 74 mg.L-1.d-1), mas o mesmo I associado a maior valor de D (0,6 dia-1) levou ao melhor valor de produtividade em células (PX = 938,73 mg.L-1.d-1). Foi possível a obtenção do regime permanente em quase todos os ensaios, o que indica que o cultivo contínuo de A. platensis em fotobiorreator tubular, usando uréia como fonte de nitrogênio, pode levar a resultados satisfatórios. Considerando a preocupação em relação à substituição de combustíveis fósseis por biocombustíveis, é iminente o crescente aumento da produção de etanol ainda nos próximos anos, e esse trabalho propõe o uso do CO2 liberado pela fermentação alcoólica na produção de microrganismos fotossintetizantes como A. platensis. Para isso, em uma segunda etapa, A. platensis foi cultivada por processo contínuo, com I igual a 120 µmol fótons.m-2.s-1, empregando uréia e CO2 proveniente de fermentação alcoólica para manutenção de pH e reposição da fonte de carbono. O uso desse CO2, sem tratamento prévio, associado a D igual a 0,6 dia-1 e concentração de uréia de 3,2 mM no meio de alimentação, permitiu a obtenção de PX igual a 839 ± 25 mg.L-1.d-1, o que está próximo de 938 ± 30mg.L-1.d-1, obtido com CO2 puro de cilindro. Estes resultados mostram que o uso de CO2 de fermentação alcoólica, associado a...

Appropriately designed tubular photobioreactors seem to be suitable for photosynthetic biomass production. It can reduce the cultivation area and provide lower loss of CO2 and ammoniacal nitrogen by volatilization. In a first step of this study, Arthrospira platensis was cultivated by continuous process, testing different values of dilution rate (D = 0.2 to 1.0 d-1) and light intensities (I = 60 and 120 µmol photons.m-2.s-1). The results of these runs showed that the maximum steady-state cell concentration (XS = 2446 ± 74 mg.L-1.d-1) was achieved at 120 µmol photons.m-2.s-1 and D of 0.2 d-1, but the same light intensity associated to higher dilution rate (0.6 d-1) provided the highest cell productivity (PX = 938 ± 30 mg.L-1.d-1), a value appreciably higher than that reported in other studies. Besides, steady-state conditions were achieved in most of the runs indicating that A. platensis continuous cultivation in the tubular photobioreactor, using urea as nitrogen source, can be performed effectively, thus appearing an interesting alternative for the large scale fixation of carbon dioxide to mitigate the green house effect. Taking into account the concern about the substitution of fossil fuel with biofuels, its evident that the ethanol production is going to increase even more in the next years, and this study propose the use of the CO2 released by the alcoholic fermentation for the production of photosynthetic microorganism such as A. platensis. For this purpose, in a second step, cultivations of A. platensis were carried out with 120 µmol photons.m-2.s-1 by continuous process, using urea and CO2 from Alcoholic fermentation for pH maintenance and carbon source replacement. The use of this CO2, without any treatment, associated with a D of 0.6 d-1 and feed urea concentration of 3.2 mM provide us a PX of 839 ± 25 mg.L-1.d-1, which is slightly lower than 938 ±30 mg.L-1.d-1, obtained with pure CO2 from cylinder. Our results showed that the use of CO2 from...

Specific brain delivery of pyridyl chloroethylurea derivatives as potential antitumor agents: synthesis, evaluation and molecular modeling study

The present investigation describes the synthesis; evaluation and molecular modeling studies of a series of 1-substituted-1, 4-dihydropyridine-3-chloroethylurea derivatives IIIa-e as potential agents for treatment of brain tumors. The incorporation of the 1, 4-dihydropyridine moiety in the structure attains an efficient site specific chemical delivery system [CDS] of the chloroethylurea [CEU] as a known antitumor pharmacophore to the brain. The target compounds IIIa-e were synthesized through reduction of the corresponding quaternary compounds IIa-e. The in-vitro oxidation studies showed that, compounds IIIa-e could be oxidized into their corresponding quaternary compounds II-a-e, respectively which attains their "locked in" characteristics as brain antitumor agents. The in-vivo studies showed that compound IIIa was able to cross the BBB at detectable concentration. In addition the in-vitro alkylating activity studies using 4-[4-nitrobenzyl] pyridine [NBP] revealed that compound IIe is an efficient alkylating agent with activity comparable to reference thug chlorambucil. The target compounds were tested for their binding to the colchicine-binding site [CBS] of beta-tubulin using Molecular Operating Environment [MOE] software